Med Monthly June 2017

PHYSICIAN SOLUTIONS PRESENTS

Med Monthly MAGAZINE

June 2017

INCREASING PRACTICE VALUE VIA TECHNOLOGY pg. 24

the

Your Making More Practice Valuable

Increase the Value of Your Medical Practice Using Social Communication pg. 30

issue

Upgrading and Expanding: Invest Wisely to Maximize the Value of Your Practice pg. 20

Before You Get Started in Telemedicine pg. 28

contents

USING TELEMEDICINE TO IMPROVE YOUR REVENUE

features

20 UPGRADING AND EXPANDING: Invest Wisely to Maximize the Value of Your Practice 24 INCREASING PRACTICE VALUE VIA TECHNOLOGY

6

28 BEFORE YOU GET STARTED IN TELEMEDICINE 30 INCREASE THE VALUE OF YOUR MEDICAL PRACTICE USING SOCIAL COMMUNICATION INCREASING PRACTICE VALUE VIA TECHNOLOGY

24

practice tips 6

USING TELEMEDICINE TO IMPROVE YOUR REVENUE

8

BEST CARE FOR CHILDREN REMAINS AT THE PEDIATRICIAN’S OFFICE

10 PRESCRIBING PATTERNS CHANGE FOLLOWING DIRECT MARKETING RESTRICTIONS

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Med Monthly June 2017 Publisher Creative Director Contributors

Philip Driver Thomas Hibbard Naren Arulrajah Nidhi Vats Behl Kaci Durbin, MD FACOG Vishal Gandhi, BSEE, MBA Nick Hernandez, MBA, FACHE

contributors Naren Arulrajah is President and CEO of Ekwa Marketing, a complete Internet marketing company which focuses on SEO, social media, marketing education and the online reputations of Dentists and Physicians. If you have questions about marketing your practice online, call Naren direct at 877-249-9666.

Nidhi Vats Behl is an experienced professional with more than 6 years, in Healthcare industry with renowned organizations like: Fortis & Aditya Birla. Currently she is working as a freelance copy writer.

Dr. Kaci Durbin, MD, FACOG is a board certified obstetrician and MBA candidate. Since leaving private practice last year, she has served as obstetrical hospitalist director at St Anthony’s Medical Center in St. Louis.

Med Monthly is a national monthly magazine committed to providing insights about the health care profession focusing on practical advice for physicians and practices. We are currently accepting articles to be considered for publication. For more information on writing for Med Monthly, please email us at medmedia9@gmail.com.

P.O. Box 99488 Raleigh, NC 27624 medmedia9@gmail.com Online 24/7 at medmonthly.com

Vishal Gandhi, BSEE, MBA is the founder and CEO ClinicSpectrum Inc. He is a well-known and widely respected authority on the “nitty-gritty” of medical practice workflow and technology. His Hybrid Workflow Model is quickly becoming a new healthcare industry standard model for combining human and computer workflow, to maximize revenue and minimize cost and he has appeared in prominent health IT publications.

Nick Hernandez, MBA, FACHE is the CEO and founder of ABISA, a consultancy specializing in solo and small group practice management. He has consulted with clients in multiple countries and has over 20 years of leadership and operations experience. Visit www.abisallc.com for more information.

MED MONTHLY MAGAZINE |5

practice tips

Using Telemedicine to Improve Your Revenue

By Vishal Gandhi, BSEE, MBA Founder and CEO

6

| JUNE 2017

Telemedicine is a marketing approach that can help attract patients

Overcoming Missed appointments or Noshow

Patients are now insisting on using telemedicine appointments for minor ailments. The increase in retail health clinics and Urgent care centers prove that patients are now looking for an easier accessible healthcare choice. By adding telemedicine to your practice, you are attracting the patients who are seeking convenience. This can help you expand your potential patient population.

According to a recent study by Truven Health Analytics, approximately 71% of visits to the emergency rooms are avoidable and unnecessary.

The average no-show rate is between 5 percent and 10 percent, according to MGMA Consulting, which makes cutting missed appointments significant from a revenue perspective. Offering appointment even after office hours can help gain he lost appointments and have a better patient flow.

Improve your patient flow while retaining the existing patients.

Telemedicine helps keep your patients from seeking options outside of your practice. It allows you to utilize your time better with the help of quick check-ins and arrange virtual visits on-demand with your patients at your convenience. Because of patient satisfaction, you may perhaps book another appointment.

Improve documentation and save overhead costs.

With Telemedicine, you have the facility to shorten your practice hours and work from your home office. This helps you save money on the payroll, prevent employee turnover, save on utilities and other expenses. Using telemedicine, you can document every off-hour calls and visits. This can help you dodge malpractice lawsuits, saving you time and money. 

MED MONTHLY MAGAZINE

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practice tips

American Academy of Pediatrics: Best Care for Children Remains at the Pediatrician’s Office

The Academy recommends that physicians coordinate with urgent care and retail-based clinics, to ensure high-quality services outside the medical home The American Academy of Pediatrics affirms its stance that the ideal location for children to receive care for acute, nonemergency health concerns is at a pediatrician’s 8

| JUNE 2017

office or similar “medical home” that offers continuous, comprehensive and coordinated care, according to a newly released policy statement.

The Academy also acknowledges the need to coordinate with and help improve standards at a growing number of urgent care facilities, retail-based clinics and commer-

cial telemedicine services that are used by some families because of a perceived or real benefit in accessibility, convenience or cost.

“Children deserve to receive care from a skilled professional, a physician who knows their needs and medical history, who works alongside family members to keep them safe and healthy,” said Susan

Kressly, MD, a lead author of the policy statement.

“While families may sometimes feel the need to seek medical care at retail centers or elsewhere outside the doctor’s office, we remain concerned that the treatment delivered at many of those facilities falls short of evidence-based medical standards.”

The report, “Nonemergency Acute Care: When It’s Not the Medical Home,” published in the May 2017 issue of Pediatrics replaces two previously published policy statements that addressed the expanding models of acute care services. The updated statement emphasizes that treatment of children at established, evolving and

new practices should adhere to core principles that are based on recommendations that include: • Maximize continuity of care by rapidly communicating information and referring the child for necessary follow-up to the medical home.

• Provide care that is based on the best available evidence and have clearly defined limits of scope of service that are transparent to families.

• Ensure that the staff have pediatric training and experience.

• Establish protocols for inperson and technology-enabled care for transitions of care during emergencies, during situations outside scope of care, and for after-hours coverage.

• Put in place strategies for continuous assessment and improvement for quality of care and patient safety.

The Academy recommends that children younger than 2 years old are not treated at retail-based clinics or acute care services that lack pediatric expertise. The policy statement encourages pediatric practices to use innovative ways to meet family needs within the medical home, such as by increasing hours of operation.

The medical home remains the best location for children and adolescents to receive care for chronic or complex conditions, including behavioral health issues; for routine well-child care, including physical examinations and immunizations; and for whole-person care, including issues affected by social determinants of health.  Source: http://www.pressreleasepoint.com/american-academy-pediatrics-best-care-children-remainspediatricians-office MED MONTHLY MAGAZINE

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practice tips

Prescribing Patterns Change Following Direct Marketing Restrictions NIH-funded study looks at how conflict of interest policies affect medication prescribing.

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‘‘

“There has long been concern that drug marketing to physicians might influence their prescribing, including — and maybe especially — for psychiatric drugs. Many medical schools have adopted policies to limit such marketing, and this study is one of the first to document what effect these policies actually have.”

A study of how policies restricting pharmaceutical promotion to physicians affect medication prescribing found that physicians in academic medical centers (AMCs) prescribed fewer of the promoted drugs, and more non-promoted drugs in the same drug classes, following policy changes to restrict marketing activities at those medical centers.

The analysis encompassed 16.1 million prescriptions; while the decline observed was modest in terms of percentage, proportionally small changes can represent thousands of prescriptions.

The study was supported in part by a contract from the National Institute of Mental Health (NIMH), part of the National Institutes of Health. The paper reporting these results appears in the May 2 issue of JAMA which is devoted to conflict of interest issues.

It is common for pharmaceutical companies to promote medications to physicians during sales visits and events that may involve gifts such as meals and free samples, a practice called “detailing.” In recent years, some AMCs in the United States have instituted policies restricting detailing, but little is known about what effect, if any, such policies have had on prescribing practices by physicians “There has long been concern that drug marketing to physicians might influence their prescribing, including — and maybe especially — for psychiatric drugs,” says Michael Schoenbaum, Ph.D., Senior Advisor for Mental Health Services, Epidemiology, and Economics, Division of Services and Intervention Research at NIMH and a coauthor of the paper.

“Many medical schools have adopted policies to limit such marketing, and this study is one of the first to document what effect these policies actually have. Important next steps include assessing the economic impact of these policies and whether they affect patients’ clinical outcomes.”

Ian Larkin, Ph.D., at the University of California, Los Angeles, and George Lowenstein, Ph.D., at Carnegie Mellon University, Pittsburgh, led a multi-center team of researchers in a study examining the effects on prescribing of AMC policies to limit pharmaceutical representative detailing. The team looked at prescribing by physicians affiliated with 19 academic medical centers in five states. These states — California, Illinois, Massachusetts, New York, and Pennsylvania — have the largest numbers of AMC-affiliated physicians and in 2015 accounted for nearly 35 percent of all U.S. prescriptions.

During the period of the study — January 2006 to June 2012 — these 19 centers instituted policies restricting detailing. The study compared prescribing by 2,126 physicians affiliated with these centers with that of 24,593 physicians with similar backgrounds and prescribing habits that were selected from a database of physicians in the same states provided by a large pharmacy benefits manager. The analysis in this study encompassed eight major drug classes: lipid-lowering drugs, gastroesophageal reflux disease drugs, antidiabetic agents, antihypertensive drugs, sleep aids, attention deficit hyperactivity disorder drugs, antidepressant drugs, and antipsychotic drugs.

The study authors reported changes in prescribing in terms of changes continued on page 12

MED MONTHLY MAGAZINE

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continued from page 11

in the market share of detailed and nondetailed drugs: market share represents the share of prescriptions for a given drug within a drug class. The mean market share of detailed drugs (across all the drug classes) in AMCs prior to changes in policy was 19.3 percent. Over the period of the study, the market share of detailed drugs prescribed by AMC physicians declined by 1.67 percentage point, an 8.7 percent decrease relative to the level prior to policy changes. The market share of prescribed nondetailed drugs increased 0.84 percentage point, or a relative 5.6 percent increase. The changes were statistically significant for six of the eight drug classes and for all drugs in the aggregate. The decline in prescribing of detailed drugs among AMC physicians was in contrast to a slight decline in prescriptions of detailed drugs among the comparison group of physicians over the same time period.

The magnitude of changes differed across AMCs.

MODERN

Urgent Care

The decline in prescriptions of detailed drugs was greatest at centers with the most stringent policies, such as bans on salespeople in patient care areas, requirements for salesperson registration and training, and penalties for salespeople and physicians for violating the policies. In 8 of 11 AMCs with more stringent policies, the changes in prescribing were significant; in only 1 of 8 AMCs with more limited measures were the changes significant.

Additional analysis showed that the changes in prescribing were evident whether or not detailed drugs for which a generic version became available during the study were included in the data. Also, because AMCs instituted policy changes at different times during the study period, the authors compared prescribing during equivalent stretches of time (up to three years) immediately before and after each center’s policy had changed.  Source: https://www.nih.gov/news-events/newsreleases/prescribing-patterns-change-following-directmarketing-restrictions

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U.S. OPTICAL BOARDS Alaska P.O. Box 110806 Juneau, AK 99811 (907)465-5470 http://www.commerce.state.ak.us/dnn/ cbpl/ProfessionalLicensing/DispensingOpticians.aspx Arizona 1400 W. Washington, Rm. 230 Phoenix, AZ 85007 (602)542-3095 http://www.do.az.gov Arkansas P.O. Box 627 Helena, AR 72342 (870)572-2847 California 2005 Evergreen St., Ste. 1200 Sacramento, CA 95815 (916)263-2382 http://www.optometry.ca.gov/ Colorado 1560 Broadway St. #1310 Denver, CO 80202 (303)894-7750 http://www.dora.state.co.us/optometry/ Connecticut 410 Capitol Ave., MS #12APP P.O. Box 340308 Hartford, CT 06134 (860)509-7603 ext. 4 http://www.ct.gov/dph/cwp/view. asp?a=3121&q=427586 Florida 4052 Bald Cypress Way, Bin C08 Tallahassee, FL 32399 (850)245-4474 http://www.pof.org/opticianry-board/ Georgia 237 Coliseum Dr. Macon, GA 31217 (478)207-1671 http://sos.ga.gov/index.php/licensing/ plb/20 Hawaii P.O. Box 3469 Honolulu, HI 96801 (808)586-2704 http://hawaii.gov/dcca/pvl/programs/ dispensingoptician/

Idaho 450 W. State St., 10th Floor Boise , ID 83720 (208)334-5500 http://www.ironforidaho.net/

Oregon 3218 Pringle Rd. SE Ste. 270 Salem, OR 97302 (503)373-7721 http://www.oregonobo.org/optque.htm

Kentucky P.O. Box 1360 Frankfurt, KY 40602 (502)564-3296 http://www.opticiantraining.org/optician-training-kentucky/

Rhode Island 3 Capitol Hill, Rm 104 Providence, RI 02908 (401)222-7883 http://sos.ri.gov/govdirectory/index. php? page=DetailDeptAgency&eid=260

Massachusetts 239 Causeway St. Boston, MA 02114 (617)727-5339 http://1.usa.gov/zbJVt7

South Carolina P.O. Box 11329 Columbia, SC 29211 (803)896-4665 www.llr.state.sc.us

Nevada P.O. Box 70503 Reno, NV 89570 (775)853-1421 http://nvbdo.state.nv.us/

Tennessee Heritage Place Metro Center 227 French Landing, Ste. 300 Nashville, TN 37243 (615)253-6061 http://tn.gov/health

New Hampshire 129 Pleasant St. Concord, NH 03301 (603)271-5590 www.state.nh.us New Jersey P.O. Box 45011 Newark, NJ 07101 (973)504-6435 http://www.njsop.org/aws/NJSOP/pt/sp/ home_page New York 89 Washington Ave., 2nd Floor W. Albany, NY 12234 (518)402-5944 http://www.op.nysed.gov/prof/od/ North Carolina P.O. Box 25336 Raleigh, NC 27611 (919)733-9321 http://www.ncoptometry.org/ Ohio 77 S. High St. Columbus, OH 43266 (614)466-9707 http://optical.ohio.gov/

Texas P.O. Box 149347 Austin, TX 78714 (512)834-6661 http://www.tob.state.tx.us/ Vermont National Life Bldg N FL. 2 Montpelier, VT 05620 (802)828-2191 http://vtprofessionals.org/opr1/ opticians/ Virginia 3600 W. Broad St. Richmond, VA 23230 (804)367-8500 http://www.dpor.virginia.gov/Boards/ HAS-Opticians/ Washington 300 SE Quince P.O. Box 47870 Olympia, WA 98504 (360)236-4947 http://www.doh.wa.gov/LicensesPermitsandCertificates/MedicalCommission. aspx

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U.S. DENTAL BOARDS Alabama Alabama Board of Dental Examiners 5346 Stadium Trace Pkwy., Ste. 112 Hoover, AL 35244 (205) 985-7267 http://www.dentalboard.org/ Alaska P.O. Box 110806 Juneau, AK 99811-0806 (907)465-2542 https://www.commerce.alaska.gov/web/ cbpl/ProfessionalLicensing/BoardofDentalExaminers.aspx Arizona 4205 N. 7th Ave. Suite 300 Phoenix, AZ 85103 (602)242-1492 http://azdentalboard.us/ Arkansas 101 E. Capitol Ave., Suite 111 Little Rock, AR 72201 (501)682-2085 http://www.asbde.org/ California 2005 Evergreen Street, Suite 1550Â Sacramento, CA 95815 877-729-7789 http://www.dbc.ca.gov/

Hawaii DCCA-PVL Att: Dental P.O. Box 3469 Honolulu, HI 96801 (808)586-3000 http://cca.hawaii.gov/pvl/boards/dentist/ Idaho P.O. Box 83720 Boise, ID 83720 (208)334-2369 http://isbd.idaho.gov/ Illinois 320 W. Washington St. Springfield, IL 62786 (217)785-0820 http://www.isds.org/LawsLegislation/ boardOfDentistry.asp Indiana 402 W. Washington St., Room W072 Indianapolis, IN 46204 (317)232-2980 http://www.in.gov/pla/dental.htm

Colorado 1560 Broadway, Suite 1350 Denver, CO 80202 (303)894-7800 https://www.colorado.gov/pacific/dora/ Dental_Board

Iowa 400 SW 8th St. Suite D Des Moines, IA 50309 (515)281-5157 http://www.state.ia.us/dentalboard/

Connecticut 410 Capitol Ave. Hartford, CT 06134 (860)509-8000 http://www.ct.gov/dph/cwp/view. asp?a=3143&q=388884

Kansas 900 SW Jackson Room 564-S Topeka, KS 66612 (785)296-6400 http://www.dental.ks.gov/

Delaware Cannon Building, Suite 203 861 Solver Lake Blvd.

Dover, DE 19904 (302)744-4500 http://1.usa.gov/t0mbWZ

Kentucky 312 Whittington Parkway, Suite 101 Louisville, KY 40222 (502)429-7280 http://dentistry.ky.gov/

Florida 4052 Bald Cypress Way Bin C-08 Tallahassee, FL 32399 (850)245-4474 http://floridasdentistry.gov/ 16

Georgia 237 Coliseum Drive Macon, GA 31217 (478)207-2440 https://gbd.georgia.gov/

| JUNE 2017

Louisiana 365 Canal St., Suite 2680 New Orleans, LA 70130 (504)568-8574 http://dentistry.ky.gov/

Maine 143 State House Station 161 Capitol St. Augusta, ME 04333 (207)287-3333 http://www.mainedental.org/ Maryland 55 Wade Ave. Catonsville, Maryland 21228 (410)402-8500 http://dhmh.state.md.us/dental/ Massachusetts 1000 Washington St., Suite 710 Boston, MA 02118 (617)727-1944 http://www.mass.gov/eohhs/gov/departments/dph/programs/hcq/dhpl/ dentist/about/ Michigan P.O. Box 30664 Lansing, MI 48909 (517)241-2650 http://www.michigan.gov/lara/0,4601,7154-72600_72603_27529_27533---,00. html Minnesota 2829 University Ave., SE. Suite 450 Minneapolis, MN 55414 (612)617-2250 http://www.dentalboard.state.mn.us/ Mississippi 600 E. Amite St., Suite 100 Jackson, MS 39201 (601)944-9622 http://bit.ly/uuXKxl Missouri 3605 Missouri Blvd.

P.O. Box 1367 Jefferson City, MO 65102 (573)751-0040 http://pr.mo.gov/dental.asp Montana P.O. Box 200113 Helena, MT 59620 (406)444-2511 http://bsd.dli.mt.gov/license/bsd_ boards/den_board/board_page.asp

Nebraska 301 Centennial Mall South Lincoln, NE 68509 (402)471-3121 http://dhhs.ne.gov/publichealth/Pages/ crl_medical_dent_hygiene_board.aspx

Ohio Riffe Center 77 S. High St.,17th Floor Columbus, OH 43215 (614)466-2580 http://www.dental.ohio.gov/

Nevada 6010 S. Rainbow Blvd. Suite A-1 Las Vegas, NV 89118 (702)486-7044 http://www.nvdentalboard.nv.gov/

Oklahoma 201 N.E. 38th Terr., #2 Oklahoma City, OK 73105 (405)524-9037 http://www.ok.gov/dentistry/

New Hampshire 2 Industrial Park Dr. Concord, NH 03301 (603)271-4561 http://www.nh.gov/dental/

Oregon 1600 SW 4th Ave. Suite 770 Portland, OR 97201 (971)673-3200 http://www.oregon.gov/Dentistry/

New Jersey P.O Box 45005 Newark, NJ 07101 (973)504-6405 http://njpublicsafety.com/ca/dentistry/

Pennsylvania P.O. Box 2649 Harrisburg, PA 17105 (717)783-7162 http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Dentistry/ Pages/default.aspx#.VbkfjPlPVYU

New Mexico Toney Anaya Building 2550 Cerrillos Rd. Santa Fe, NM 87505 (505)476-4680 http://www.rld.state.nm.us/boards/Dental_Health_Care.aspx New York 89 Washington Ave. Albany, NY 12234 (518)474-3817 http://www.op.nysed.gov/prof/dent/ North Carolina 507 Airport Blvd., Suite 105 Morrisville, NC 27560 (919)678-8223 http://www.ncdentalboard.org/ North Dakota P.O. Box 7246 Bismark, ND 58507 (701)258-8600 http://www.nddentalboard.org/

Rhode Island Dept. of Health Three Capitol Hill, Room 104 Providence, RI 02908 (401)222-2828 http://1.usa.gov/u66MaB South Carolina P.O. Box 11329 Columbia, SC 29211 (803)896-4599 http://www.llr.state.sc.us/POL/Dentistry/ South Dakota P.O. Box 1079 105. S. Euclid Ave. Suite C Pierre, SC 57501 (605)224-1282 https://www.sdboardofdentistry.com/ Tennessee 227 French Landing, Suite 300 Nashville, TN 37243 (615)532-3202 http://tn.gov/health

Texas 333 Guadeloupe St. Suite 3-800 Austin, TX 78701 (512)463-6400 http://www.tsbde.state.tx.us/ Utah 160 E. 300 South Salt Lake City, UT 84111 (801)530-6628 http://1.usa.gov/xMVXWm Vermont National Life Building North FL2 Montpelier, VT 05620 (802)828-1505 http://governor.vermont.gov/boards_ and_commissions/dental_examiners Virginia Perimeter Center 9960 Maryland Dr., Suite 300 Henrico, VA 23233 (804)367-4538 http://www.dhp.virginia.gov/dentistry Washington 310 Israel Rd. SE P.O. Box 47865 Olympia, WA 98504 (360)236-4700 http://www.doh.wa.gov/LicensesPermitsandCertificates/ProfessionsNewReneworUpdate/Dentist.aspx West Virginia 1319 Robert C. Byrd Dr. P.O. Box 1447 Crab Orchard, WV 25827 1-877-914-8266 http://www.wvdentalboard.org/ Wisconsin P.O. Box 8935 Madison, WI 53708 1(877)617-1565 http://dsps.wi.gov/Default. aspx?Page=90c5523f-bab0-4a45-ab943d9f699d4eb5 Wyoming 1800 Carey Ave., 4th Floor Cheyenne, WY 82002 (307)777-6529 http://plboards.state.wy.us/dental/index.asp

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U.S. MEDICAL BOARDS Alabama P.O. Box 946 Montgomery, AL 36101 (334)242-4116 http://www.albme.org/ Alaska 550 West 7th Ave., Suite 1500 Anchorage, AK 99501 (907)269-8163 http://www.medlicense.com/alaskamedical-license.html Arizona 9545 E. Doubletree Ranch Rd. Scottsdale, AZ 85258 (480)551-2700 http://www.azmd.gov Arkansas 1401 West Capitol Ave., Suite 340 Little Rock, AR 72201 (501)296-1802 http://www.armedicalboard.org/ California 2005 Evergreen St., Suite 1200 Sacramento, CA 95815 (916)263-2382 http://www.mbc.ca.gov/ Colorado 1560 Broadway, Suite 1350 Denver, CO 80202 (303)894-7690 http://www.docjungle.com/medicalboards/colorado-physician-licensing/ Connecticut 401 Capitol Ave. Hartford, CT 06134 (860)509-8000 http://www.ct.gov/dph/cwp/view. asp?a=3143&q=388902 Delaware Division of Professional Regulation Cannon Building 861 Silver Lake Blvd., Suite 203 Dover, DE 19904 (302)744-4500 http://dpr.delaware.gov/ District of Columbia 899 North Capitol St., NE Washington, DC 20002 (202)442-5955 http://doh.dc.gov/bomed 18

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Florida 2585 Merchants Row Blvd.

Tallahassee, FL 32399 (850)245-4444 http://www.stateofflorida.com/Portal/ DesktopDefault.aspx?tabid=115

Louisiana LSBME P.O. Box 30250 New Orleans, LA 70190 (504)568-6820 http://www.lsbme.la.gov/

Georgia 2 Peachtree Street NW, 36th Floor Atlanta, GA 30303 (404)656-3913 http://bit.ly/vPJQyG

Maine 161 Capitol Street 137 State House Station Augusta, ME 04333 (207)287-3601 http://www.maine.gov/md/

Hawaii DCCA-PVL P.O. Box 3469 Honolulu, HI 96801 (808)587-3295 http://hawaii.gov/dcca/pvl/boards/medical/

Maryland 4201 Patterson Ave. Baltimore, MD 21215 (410)764-4777 http://www.mbp.state.md.us/

Idaho Idaho Board of Medicine P.O. Box 83720 Boise, Idaho 83720 (208)327-7000 http://bit.ly/orPmFU

Massachusetts 200 Harvard Mill Sq., Suite 330 Wakefield, MA 01880 (781)876-8200 http://www.mass.gov/eohhs/gov/departments/borim/

Illinois 320 West Washington St. Springfield, IL 62786 (217)785 -0820 http://www.idfpr.com/

Michigan Bureau of Health Professions P.O. Box 30670 Lansing, MI 48909 (517)335-0918 http://michigan.gov/lara/0,4601,7-15472600_72603_27529_27541-58914--,00. html

Indiana 402 W. Washington St. #W072 Indianapolis, IN 46204 (317)233-0800 http://www.in.gov/pla/ Iowa 400 SW 8th St., Suite C Des Moines, IA 50309 (515)281-6641 http://medicalboard.iowa.gov/ Kansas 800 SW Jackson, Lower Level, Suite A Topeka, KS 66612 (785)296-7413 http://www.ksbha.org/ Kentucky 310 Whittington Pkwy., Suite 1B Louisville, KY 40222 (502)429-7150 http://kbml.ky.gov/Pages/index.aspx

Minnesota University Park Plaza 2829 University Ave. SE, Suite 500 Minneapolis, MN 55414 (612)617-2130 http://bit.ly/pAFXGq Mississippi 1867 Crane Ridge Drive, Suite 200-B Jackson, MS 39216 (601)987-3079 http://www.msbml.state.ms.us/ Missouri Missouri Division of Professional Registration 3605 Missouri Blvd.

P.O. Box 1335 Jefferson City, MO 65102 (573)751-0293 http://pr.mo.gov/healingarts.asp

Montana 301 S. Park Ave. #430 Helena, MT 59601 (406)841-2300 http://bsd.dli.mt.gov/license/bsd_ boards/med_board/board_page.asp Nebraska Nebraska Department of Health and Human Services P.O. Box 95026 Lincoln, NE 68509 (402)471-3121 https://www.nebraska.gov/LISSearch/ search.cgi Nevada Board of Medical Examiners P.O. Box 7238 Reno, NV 89510 (775)688-2559 http://www.medboard.nv.gov/ New Hampshire New Hampshire State Board of Medicine 2 Industrial Park Dr. #8 Concord, NH 03301 (603)271-1203 http://www.nh.gov/medicine/ New Jersey P. O. Box 360 Trenton, NJ 08625 (609)292-7837 http://www.medlicense.com/new-jerseymedical-license.html New Mexico 2055 S. Pacheco St. Building 400 Santa Fe, NM 87505 (505)476-7220 http://www.nmmb.state.nm.us/ New York Office of the Professions State Education Building, 2nd Floor Albany, NY 12234 (518)474-3817 http://www.op.nysed.gov/ North Carolina P.O. Box 20007 Raleigh, NC 27619 (919)326-1100 http://www.ncmedboard.org/

North Dakota 418 E. Broadway Ave., Suite 12 Bismarck, ND 58501 (701)328-6500 http://www.ndbomex.com/

Texas P.O. Box 2018 Austin, TX 78768 (512)305-7010 http://www.tmb.state.tx.us/

Ohio 30 E. Broad St., 3rd Floor Columbus, OH 43215 (614)466-3934 http://med.ohio.gov/

Utah P.O. Box 146741 Salt Lake City, UT 84114 (801)530-6628 http://www.dopl.utah.gov/licensing/physician_surgeon.html

Oklahoma P.O. Box 18256 Oklahoma City, OK 73154 (405)962-1400 http://www.okmedicalboard.org/ Oregon 1500 SW 1st Ave., Suite 620 Portland, OR 97201 (971)673-2700 http://www.oregon.gov/OMB/ Pennsylvania P.O. Box 2649 Harrisburg, PA 17105 (717)787-8503 http://www.dos.pa.gov/ProfessionalLicensing/BoardsCommissions/Medicine/ Pages/default.aspx#.Vbkgf_lPVYU Rhode Island 3 Capitol Hill Providence, RI 02908 (401)222-5960 http://1.usa.gov/xgocXV South Carolina P.O. Box 11289 Columbia, SC 29211 (803)896-4500 http://www.llr.state.sc.us/pol/medical/ South Dakota 101 N. Main Ave. Suite 301 Sioux Falls, SD 57104 (605)367-7781 http://www.sdbmoe.gov/ Tennessee 425 5th Ave. North Cordell Hull Bldg. 3rd Floor Nashville, TN 37243 (615)741-3111 http://tn.gov/health

Vermont P.O. Box 70 Burlington, VT 05402 (802)657-4220 http://1.usa.gov/wMdnxh Virginia Virginia Dept. of Health Professions Perimeter Center 9960 Maryland Dr., Suite 300 Henrico, VA 23233 (804)367-4400 http://1.usa.gov/xjfJXK Washington Public Health Systems Development Washington State Department of Health 101 Israel Rd. SE, MS 47890 Tumwater, WA 98501 (360)236-4085 http://www.medlicense.com/washingtonmedicallicense.html West Virginia 101 Dee Dr., Suite 103 Charleston, WV 25311 (304)558-2921 http://www.wvbom.wv.gov/ Wisconsin P.O. Box 8935 Madison, WI 53708 (877)617-1565 http://dsps.wi.gov/Boards-Councils/ Board-Pages/Medical-Examining-BoardMain-Page/ Wyoming 320 W. 25th St., Suite 200 Cheyenne, WY 82002 (307)778-7053 http://wyomedboard.state.wy.us/

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features

Upgrading and Expanding:

Invest Wisely to Maximize the Value of Your Practice

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By Naren Arulrajah Ekwa Marketing

Y

ou are ready to expand your medical or dental practice and take it to the next level. Funding is available and you are ready to expand. The question is, “Where should you put your money?” The potential answers to that question are virtually limitless, and the right one is different for every practice.

Every procedure or service that you offer represents a new revenue stream. However, your new offering will only be successful if you have an adequate market for it. Maximize your ROI (return on investment) by adopting a strategy when investing in your practice.

Choosing services

A few of the most important factors to consider include: • Analyze your referrals. What procedures and diagnostics do you refer out most frequently? If it is feasible to provide them in-house, you can keep the profits inhouse.

• Analyze your patient demographics. Do you see a lot of aging, relatively healthy adults? Cosmetic services may be a good choice. Are most of your patients busy young professionals? Look for convenience services, which will save them time.

• Consider your location. If your office is next door to a renowned diet clinic, you probably wouldn’t attract a lot of people with weight loss counseling. However, if there are no nutritionists in the area, counseling services for diabetics could be popular.

• Look at the big picture. Think about your specialty, brand identity, mission statement, and business plan. Ask yourself if a new procedure would fit well. If you have a dental practice specializing in smile makeovers, Botox might be a natural choice. For a dental office that focuses on reconstructive and pediatric dentistry, Orthodontics might be a better choice.

• Think about your marketing strategy. Is there already a need or demand? If not, how will you sell your service? Whether you are offering an elective treatment to consumers, or you are seeking referrals from colleagues, make a plan to get the word out.

Purchasing equipment

Often, expanding your practice includes buying devices. Today’s savvy patients are well aware of the benefits of high-tech treatments, from laser surgery to cosmetic skin tightening. Many of these procedures are in high demand, because the companies that make these devices market them heavily.

Many practices are expanding without adding entirely new services. The addition of in-office diagnostics or laboratory equipment can add revenue streams while improving the patients’ experience. For example, several years ago, the idea of a dentist creating a crown in his or her office would have been laughable. Today, it is a profitable service that busy patients appreciate, and often expect.

If you’ve decided to invest in equipment, your next decision is whether to buy new or used.

Three reasons to buy new: • If you plan to sell your practice, a modern and up to date office will be more appealing to a potential buyer.

• Prospective patients are often looking for the “latest and greatest.” In fact, having a high-tech office is an excellent selling point when marketing your practice. continued on page 22

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• The latest technology tends to be the most effective and efficient. Buying the newest versions of devices can improve your results, reduce treatment times, or both.

Three reasons to buy used: • Much like automobiles, the value of new medical devices depreciates rapidly.

Even if you use it for a short time, the resale value will be significantly lower than the purchase price. A used device will depreciate more slowly.

• Due to the price difference, you may be able to do more with less investment by choosing used equipment.

• If the company has not recently made dramatic improvements to the device you are purchasing, then an older model may have nearly the same functionality at a lower price.

Other areas to upgrade As a doctor, it can be easy to forget to look beyond what you do and how you do it. However, your patient’s experience, and your profit potential, encompass more than just your services and procedures. If you are investing the time and money to expand your practice, consider upgrading these areas as well: • Existing equipment – Replacing your current devices with the latest technology will keep your practice on the cutting edge, and avoid the problems that come with aging devices.

• Business office – When you think of new technology, 22

| JUNE 2017

you probably think of the devices that you work with. However, the efficiency of your front office can make the difference between surviving and thriving for your practice. Upgrading slow computers, poor sound quality on telephones, or inadequate practice management software is usually much less expensive than medical equipment, but it can still have an impact on the value of your practice.

• Amenities and patient area – No matter what your specialty, patients love to be pampered. You can upgrade their experience, often with minimal investment. Wi-fi, comfortable furnishings, refreshments, and convenient parking are popular with virtually every demographic. Additionally, targeted additions such as wheelchair lifts or child play areas can help you increase patients from a specific demographic.

• Outreach – Make sure people are talking about your practice, and that they are saying good things. Improving your social media presence, upgrading your website, affiliating with local organizations, promoting your charitable

activities, and marketing to new demographics are just a few of the ways to increase your patient base.

Conclusion

To a doctor and medical practice owner, very little is more exciting than deciding to perform a new procedure, buy a new laser, or hire a new specialist.

However, careful forethought and strategic planning can make the difference between a profitable investment and a waste of money.  About the Author: Naren Arulrajah is President and CEO of Ekwa Marketing, a complete Internet marketing company which focuses on SEO, social media, marketing education and the online reputations of Dentists and Physicians. With a team of 140+ full time marketers, www.ekwa.com helps doctors who know where they want to go, get there by dominating their market and growing their business significantly year after year. If you have questions about marketing your practice online, call 855- 598-3320 to speak one-on-one with Naren.

features

Increasing Practice Value Via Technology

‘‘

“Investing in technology can go a long way in showing customers that you care.

Technology that can minimize patient waiting is invaluable.”

By Kaci Durbin, MD FACOG

What is the most valuable part of your practice? It is your expertise and knowledge? Your facilities and equipment? Your hospital affiliation? According to patients, the most valuable part is the physicianpatient relationship. A 2012 JD Power and Associates study on inpatient and outpatient care showed that interpersonal skills mattered most when it came to patient satisfaction (JD 2012). Patients want their physician to show a “genuine interest” in their care.

The most frequent complaints had nothing to do with the medical care received or the facilities but about 24

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perceived “service” and “attitude.”

So how do you create that relationship and show patients you value them? The field of medicine can learn from the business world. Businesses today realize that customer expectations are higher than ever before. The era of the Internet has changed expectations and raised the bar for businesses, including medical practices and hospitals. People want personalized service, but they want it fast. They want options and they want information. They want to be able to communicate with their health care

providers and have 24/7 access.

Think about the convenience in today’s online world. I can buy clothing, furniture, and toys and have them delivered in two days. I can schedule appointments, consult with a lawyer, order food, and earn college credit without leaving my couch... and I can do these things 24/7. My experiences are also personalized. When I log into an online retailer, the company remembers all of my information. It suggests items that I might like based on purchase history. It’s easy. This age of personalized, fast, and

convenient service is now the norm. We are not pleasantly surprised when we receive it; we expect it.

These customers are also patients. They expect the same personalized, fast, and convenient service that other organizations provide them. To keep them satisfied and show them we care, we need to focus on relationships, invest in technology, and invest in our staff.

First of all, physicians should focus on customer relationship management. Just like the customer hates continued on page 26 MED MONTHLY MAGAZINE

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continued from page 25

re-telling their story three times to three different customer service representatives, a patient hates retelling her story over and over again. Everyone in the office needs to have access to the patient’s chart and in real-time via electronic medical records. Each member of the team needs to be held accountable for keeping that chart updated. If I see my partner’s patient, I should be able to see and have access to her entire history. Similarly, the front desk should be able to see why the patient is being seen. The phone nurse needs to know the patient’s history and what happened at the visit. Phone calls, emails, and other correspondence should all be documented and easily seen by all members of the team. Keeping up with charting is not just a compliance issue, it is good customer service.

Investing in technology can go a long way in showing customers that you care. Technology that can minimize patient waiting is invaluable. Customers hate to wait. A study done in the American Journal of Managed Care revealed that every aspect of the patient experience was negatively impacted by wait times (Bleustein 2014). They hate to wait on the phone and hate to wait in person even more. People feel their time is not valued. Millennials in particular, have no patience for sitting on hold for hours on end (Rubenfire 2017). If a patient calls your office for a new appointment and ends up on hold too long, there is a good chance he or she will find somewhere else to go. Investing in an information system that allows for online appointments and cancellations can greatly increase patient satisfaction.

Similarly, customers and patients hate to wait in person. Obviously, emergencies happen. Some patients are high maintenance and take longer than others. This uncontrollable and unpredictable variation is inevitable. However, there are steps an office can take to decrease wait times. Have patients fill out paperwork ahead of time. New patient history forms, privacy practices, insurance information, etc. can all be provided (you guessed it) online. Also, an office can use information systems to analyze the office for any bottleneck steps. How long are patients in the waiting room? How long does triage take?

How long are they waiting in the room? What is the rate-limiting step? Find out where the backup occurs.

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Are the medical assistants too slow in calling them back? Are you, as the physician, always behind? Is there a backup waiting for the bathroom to leave urine samples?

Technology can also be helpful in providing 24/7 service. Patients do not want to “wait until Monday” for their test result or ask their question. Customers expect 24/7 service. A patient portal can help here.

Patients can login to their computer at home and browse their lab results, imaging results, upcoming appointments, and prescribed medications. A website with frequently asked questions can alleviate some concerns. The ability to email the office or doctor will often satisfy the patient as well, hopefully avoiding that middle of the night phone call. In addition, patients want up-to-date, real time information.

Automated text messages updating people about office closures or delays can go a long way in improving satisfaction.

Today we are in the age of the customer. People are tech savvy, impatient, and expect efficiency and ease. Investing in information systems is not just recommended, but it is necessary. Those that do not subscribe to the new model will soon fall behind. A physician can be caring and compassionate, but it is not enough. The patient needs to perceive that the physician is caring and compassionate. In order to create a valuable practice, one needs to value the patient and their desires first.  References Clifford Bleustein, C., Rothschild, D.B., Valen, A. et al. (May 20, 2014). Wait times, patient satisfaction scores, and the perception of care. American Journal of Managed Care. Retrieved from http://www.ajmc.com/ journals/issue/2014/2014-vol20-n5/wait-times-patientsatisfaction-scores-and-the-perception-of-care#sthash. c78zrn1I.dpuf J.D. Power Ratings. (2012). Patient satisfaction influence more by hospital staff than by the hospital facilities. J.D. Power. Retrieved from http://www. jdpower.com/press-releases/2012-national-patientexperience-study Rubenfire, A. (January 7, 2017). Provider first impressions matter most for millennials.

Modern Healthcare. Retrieved from http:// www.modernhealthcare.com/article/20170107/ MAGAZINE/301079983

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Professional Listing In addition to the benefits in the standard listing our Professional Listing affords you access to services provided by our expert legal and marketing team and a Bizscore Practice Valuation. This valuation compares your practice with other practices in your area, provides projections and determines what your practice is worth.

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features

Before You Get Started in Telemedicine

Many practices are hearing about telemedicine and becoming increasingly interested in how such a program could be implemented in their operations. Physicians want to start a telemedicine program quickly. Practice managers don’t want to learn by trial and error.

The biggest issue I see by far is that practices immediately focus on the technology. This often leads to two problems: they either become overwhelmed by the plethora of options available and end up not pursuing telemedicine, or they choose poorly and the technology quickly becomes unused.

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Consequently, I tell clients to ignore the technology that is available for starters. There are many more important things to consider in order to have a successful telemedicine program, and you will then be less likely to overspend or purchase equipment you don’t need or can’t use. Here are four items practices should carefully weigh before jumping into telemedicine by purchasing technology first.

1. Legal Requirements

Because of the way telemedicine adoption is currently happening in the United States, practices

must look into a host of legal requirements, especially as the requirements pertain to applicable state law. Although there are some exceptions, physicians usually must be licensed in the state where the treatment or diagnosis is being provided. Many malpractice insurers will now cover telemedicine, but that conversation must be had with your particular carrier so they can look at the various risks involved. As with other areas of healthcare, privacy, consent, and regulatory compliance must be thoroughly evaluated by a healthcare attorney. Additionally,

By Nick Hernandez, MBA, FACHE CEO and Founder of ABISA

‘‘

“It is extremely important to take the time to develop a telemedicine strategic plan first, as there are many nuances to consider as they relate to your particular practice.”

them. This step is a very detailoriented process which will help identify potential telemedicine opportunities. A qualified consultant will help educate you about telemedicine technology applications which may apply to your potential goals, as well as educate you about predictors of success and best practices.

4. Feasibility Study

I would strongly suggest that your proposed telemedicine program be reviewed by a telemedicine consultant and healthcare attorney to ensure it is vetted for potential fraud and abuse.

2. Reimbursement Assessment

Currently, reimbursement (governmental and commercial) continues to be a barrier to telemedicine adoption in some (but not all) states. The type of telemedicine services you are proposing as well as the type of setting needs to be examined

through the lens of the state(s) where services will be rendered, as well as the portfolio of applicable payers. Even though there may be restrictions that affect billing practices (and thus reimbursement), there are ways to get “paid” (e.g. subscriptions, etc.) for telemedicine services in lieu of reimbursement.

3. Market Analysis

Telemedicine has many applications and uses, so a first task is to determine what the needs of your patients are and how telemedicine could address

The implementation of telemedicine services to your existing practice will certainly impact your operations. Some items to consider are the time you could save by implementing telemedicine, how you expect the telemedicine program to tie into your regular in-person practice, and what type of clinic hours you will devote to telemedicine.

There is no such thing as a standard telemedicine program. Consequently, it is extremely important to take the time to develop a telemedicine strategic plan first, as there are many nuances to consider as they relate to your particular practice.

Hiring a consultant to help guide you in the right direction will be money well spent, especially given that such an endeavor will change your practice operations, including your marketing and financial operations.  MED MONTHLY MAGAZINE

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features

Increase the Value of Your Medical Practice Using Social Communication

By Nidhi Behl

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Why is it two physicians with the same knowledge and qualifications operate practices that profit differently within the same geographic location?

On closer inspection, the more profitable practice has confidently expanded their social skills along with their professional skills. These additional skills in social communication have increased their business, making them more profitable. There are several factors which derive the actual worth of your practice and one of the most important is a “good marketing strategy”.

It is self-explanatory when a practice markets their new services; they need to have implemented a consistent care and treatment plan previously before announcing it on social media. So before actually discussing possible marketing strategies, make sure that within your practice the systems, processes and the staff are geared up and are working collectively for a seamless work flow. If there is any deviation, it is vital that you correct your internal systems and processes, before you work towards building a good marketing strategy. This will allow your marketing to be the most effective and have the greatest positive results.

• Social Media – When everyone else is online, why should you remain silent? It’s time that you too make your presence felt in the digital world. Develop your social media pages on your own website and on various networking sites and write regular useful content. Potential and current patients will read your posts and will have better clarity of the services you offer and the knowledge you have about their healthcare needs.

• Use of Blogs/Website – This can prove helpful when you often have the same questions from patients at your practice. You can direct your patients to your website or blog providing them with the information they need. Inform your patients that you are telling them to read this specific topic on your website as it is associated with their particular question or ailment. Also inform them if they do a general Google search, chances are they will have undesired results and excess amounts of information not required in their specific case.

• Arrange Visits to Schools, Colleges and Civic Groups – Speaking to the local schools, colleges or civic groups will increase your exposure to your local community. By doing this, the local community will get know you better, have a chance to interact with you and have a better understanding of the way you work. They may like your style and like to make you their personal physician.

• Socializing Events – Events, seminars, online seminars, professional meetings, and conferences are several other ways you can socialize. You can join the local chamber of Commerce. The more you socialize professionally, the more other healthcare providers will know you within the physician community, opening the possibility of obtaining more referred patients. While you socialize with other doctors, always try to describe a different case which you have come across. By doing this you will make your peer group understand that you are competent in handling a variety of medical issues. It might also be a good idea to drop by a clinic of a friend or acquaintance to ask whether they are free for a casual talk over a cup of coffee.

• Media Factor – You can use social media in two different ways: 1. You have handled a tricky case and you explain about your new line of treatment or the rare findings and share that you are local practitioner. You can be contacted for similar cases and leave your contact details.

2. You have a specialization which has not been available in the local area until now. Or you have recently earned a new degree/certification in which you now specialize. Describe the specialization and explain why you are the best choice for this particular treatment. If you have been specialized in this treatment for awhile, brag about your success rate.

• Associate with Helpful Healthcare Apps – You can develop an app and keep on sending regular tips about how to lead a healthy life. Or if the appointment is coming up, your patients can login into the app, where they can track their appointment dates and ask for a confirmation. There are also continued on page 32 MED MONTHLY MAGAZINE

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options for having e-prescriptions capabilities. As you make the healthcare of your patients easier to navigate, they will come to see you again and again.

• Try Writing an e-book – People are always researching medical information and e-books can be one of the cost effective methods to achieve this. It’s a good chance for you to become an author, as well! Decide your target audience i.e. if you are writing for the healthcare community than you should use medical language. But if your target audience is your patients, make sure you write in layman terms, which are easily understood by the general public.

You have great knowledge about your medical practice, but today a lot more is required to be successful in the healthcare marketplace. These methods of social communication are great ways to publicize yourself and your practice among professionals within the field and your potential and existing patients. 

SHARE YOUR STORY WITH US http://www.jigsawrelations.com/ One thing that is free and everyone has is a “PROBLEM” and what we are searching for is an “ANSWER”. The fact is the solutions are within us. But still, we never find an answer.

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Nidhi Vats is working on a website wherein she wants people to come to one platform and share all their issues and problems, which are creating daily stress. Come forward, share your story and feel better. If you do not want to reveal your name, you can submit it anonymously. If you still have any doubts, write to the email below.

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PRIMARY CARE PRACTICE East of Raleigh, North Carolina We are offering a well established primary care practice only minutes east of Raleigh North Carolina. The retiring physician maintains a 5 day work week and has a solid base of patients that can easily be expanded. There are 6 fully equipped exam rooms, a large private doctor’s office, spacious business office, and patient friendly check in and out while the patient waiting room is generous overlooking manicured flowered grounds. This family practice is open Monday through Friday and treats 8 to a dozen patients per day.

Currently operating on paper charts, there is no EMR in place. The Gross revenue is about $235,000 yearly.

We are offering this practice for $50,000 which includes all the medical equipment and furniture. The building is free standing and can be leased or purchased.

Contact Philip at 919-848-4202 to receive details and reasonable offers will be presented to the selling physician.

MedicalPracticeListings.com | medlisting@gmail.com | 919-848-4202 32

| JUNE 2017

Practices for Sale Medical Practices Pediatric Practice Near Raleigh, NC

Location: Minutes South of Raleigh, North Carolina List Price: $145,000 Gross Yearly Income: $350,000 Year Established: 1980(s) Average Patients per Day: 16-22 Total Exam Rooms: 5 Building Owned/Leased: Owned. Will sell or lease.

Contact: Philip at 919-848-4202

Urology Practice near Lake Norman, NC Location: Minutes from Charlotte, NC List Price: $165,000 Gross Yearly Income: $275,000 Year Established: 1980 Average Patients per Day: 12 to 15 Building Owned/Leased: Leased Contact: Philip at 919-848-4202

Primary Care specializing in Women’s Practice

Family Practice/Primary Care

Location: Hickory, North Carolina List Price: $425,000 Gross Yearly Income: $1,5000,000 Year Established: 2007 Average Patients Per Day: 24-35 Total Exam Rooms: 5 Building Owned/Leased: Lease or Purchase Contact: Philip at 919-848-4202

Location: Morehead City, N.C. List Price: Just reduced to $20,000 or Best Offer Gross Yearly Income: $540,000 average for past 3 years Year Established: 2005 Average Patients per Day: 12 to 22 Building Owned/Leased: MD owned and can be leased or purchased Contact: Philip at 919-848-4202

Med Spa

Family Primary Care Practice

Practice Type: Mental Health, Neuropsychological and Psychological

Location: Minutes East of Raleigh, North Carolina List Price: $15,000 or Best Offer Gross Yearly Income: $235,000 Average Patients per Day: 8 to 12 Total Exam Rooms: 6 Physician retiring, Beautiful practice Building Owned/Leased: Owned (For Sale or Lease) Contact: Philip at 919-848-4202

Location: Coastal North Carolina List Price: $550,000 Gross Yearly Income: $1,600,000.00 Year Established: 2005 Average Patients Per Day: 25 to 30 Total Exam Rooms: 4 Building Owned/Leased: Leased Contact: Philip at 919-848-4202

Location: Wilmington, NC List Price: $110,000 Gross Yearly Income: $144,000 Year Established: 2000 Average Patients Per Day: 8 Building Owned/Leased/Price: Owned Contact: Philip at 919-848-4202

Special Listings Offer We are offering our “For Sale By Owner” package at a special rate. With a 6 month agreement, you receive 3 months free.

Considering your practice options? Call us today.

MED MONTHLY MAGAZINE

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Primary Care Practice For Sale in Wilmington, NC Established primary care on the coast of North Carolina’s beautiful beaches. Fully staffed with MD’s and PA’s to treat both appointment and walk-in patients. Excellent exam room layout, equipment and visibility.

Contact Medical Practice Listings for more information.

PSYCHIATRIST PRACTICE LOCATED IN JACKSONVILLE, FL Established with a solid patient base, this well appointed practice also has a Psychologist in house. The psychiatrist is willing to stay and practice for a month or so assuring a nice patient transition.

The city of Jacksonville is underserved by psychiatrist as most patients wait 4 to 5 months to secure an appointment. Treating over a dozen patients per day year round, you can step into this practice with the assurance knowing you will have a solid income and positioning for success. The established doctor is looking to retire but very willing to assure the buyer is comfortable moving forward. Asking $135,000 fully furnished.

Contact Philip or Danielle at 919-848-4202 or email medlistings@gmail.com

PEDIATRICIAN

or family medicine doctor needed in

FAYETTEVILLE, NC

Medical Practice Listings

919.848.4202 | medlistings@gmail.com www.medicalpracticelistings.com

NC MedSpa For Sale MedSpa Located in North Carolina We have recently listed a MedSpa in NC This established practice has staff MDs, PAs and nurses to assist patients. Some of the procedures performed include: Botox, Dysport, Restylane, Perian, Juvederm, Radiesse, IPL Photoreju Venation, fractional laser resurfacing as well as customized facials. There are too many procedures to mention in this very upscale practice. The qualified buyer will be impressed with the $900,000 gross revenue. This is a new listing, and we are in the valuation process.

Comfortable seeing children. Needed immediately.

Call 919- 845-0054 or email: physiciansolutions@gmail.com www.physiciansolutions.com 34 | JUNE 2017

Contact Medical Practice Listings today to discuss the practice details.

For more information call Medical Practice Listings at 919-848-4202 or e-mail medlistings@gmail.com

www.medicalpracticelistings.com

Located on NC’s Beautiful Coast,

Morehead City

Primary Care Specializing in Women’s Health Practice established in 2005, averaging over $540,000 the past 3 years. Free standing practice building for sale or lease. This practice has 5 well equipped exam rooms and is offered for $20,000.

919.848.4202 medlisting@gmail.com medicalpracticelistings.com

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Urgent Care serving the South Raleigh and Garner, NC area Established practice averaging 25 to 30 patients per day, year round. Open 7 days a week with two providers and established staff members. 4 exam rooms, 1 procedure room and 1 lab-phlebotomy room.

This is a very well laid out and attractive practice in a heavily traveled area with excellent parking. Gross revenues of about one million per year and positioned for continued growth. Priced at $200,000.

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Medical Practice Listings Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com MED MONTHLY MAGAZINE

| 35

Pediatrics Practice Wanted

Urology Practice minutes from Lake Norman, North Carolina

Pediatrics Practice Wanted in NC Considering your options regarding your pediatric practice? We can help. Medical Practice Listings has a well qualified buyer for a pediatric practice anywhere in central North Carolina.

Contact us today to discuss your options confidentially.

Urology Practice minutes from Lake Norman is now listed for sale. This excellent located practice is convenient to Charlotte, Gastonia, Lincolnton and Hickory. With a solid patient base, procedures currently include; Adult & Pediatric Urology, Kidney Stones, Bladder Problems, Incontinence, Prostate Issues, Urinary Tract Infections, Wetting Problems, Erectile Dysfunction and related issues. Three exam rooms with two electronic tables and one flat exam table.

Established: 1980 l Gross Yearly Income: $275,000 Average Patients per Day: 12 to 15 l List Price: $165,000

Medical Practice Listings Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

PRIMARY CARE PRACTICE - Hickory, North Carolina This is an outstanding opportunity to acquire one of the most organized and profitable primary care practices in the area. Grossing a million and a half yearly, the principal physician enjoys ordinary practice income of over $300,000 annually.

Hickory is located in the foot-hills of North Carolina and is surrounded by picturesque mountains, lakes, upscale shopping malls and the school systems are excellent. If you are looking for an established practice that runs like a well oiled machine, request more information.

The free standing building that houses this practice is available to purchase or rent with an option. There are 4 exam rooms with a well appointed procedure room. The owning physician works 4 to 5 days per week and there is a full time physician assistant staffed as well.

For the well qualified purchasing physician, the owner may consider some owner-financing. Call us today.

List price: $425,000 | Year Established: 2007 | Gross Yearly Income: $1,500,000

MedicalPracticeListings.com | medlisting@gmail.com | 919-848-4202 36

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Contact Philip or Danielle at 919-848-4202 or email medlistings@gmail.com

PHYSICIANS NEEDED: Mental health facility in Eastern North Carolina seeks: PA/FT ongoing, start immediately Physician Assistant needed to work with physicians to provide primary care for resident patients. FT ongoing 8a-5p. Limited inpatient call is required. The position is responsible for performing history and physicals of patients on admission, annual physicals, dictate discharge summaries, sick call on unit assigned, suture minor lacerations, prescribe medications and order lab work. Works 8 hour shifts Monday through Friday with some extended work on rotating basis required. It is a 24 hour in-patient facility that serves adolescent, adult and geriatric patients.

FT ongoing Medical Director, start immediately The Director of Medical Services is responsible for ensuring all patients receive quality medical care. The director supervises medical physicians and physician extenders. The Director of Medical Services also provides guidance to the following service areas: Dental Clinic, X-Ray Department, Laboratory Services, Infection Control, Speech/Language Services, Employee Health,

Pharmacy Department, Physical Therapy and Telemedicine. The Medical Director reports directly to the Clinical Director. The position will manage and participate in direct patient care as required; maintain and participate in an on-call schedule ensuring that a physician is always available to hospitalized patients; and maintain privileges of medical staff.

Permanent Psychiatrist needed FT, start immediately An accredited State Psychiatric Hospital serving the eastern region of North Carolina, is recruiting for permanent full-time Psychiatrist. The 24 hour in-patient facility serves adolescent, adult and geriatric patients. The psychiatrist will serve as a team leader for multi-disciplinary team to ensure quality patient care/treatment. Responsibilities include:

evaluation of patient on admission and development of a comprehensive treatment plan, serve on medical staff committees, complete court papers, documentation of patient progress in medical record, education of patients/families, provision of educational groups for patients.

Send copies of your CV, NC medical license, DEA certificate and NPI certificate with number to Physician Solutions for immediate consideration. Physician Solutions, P.O. Box 98313, Raleigh, NC 27624 PH: (919) 845-0054 | email: physiciansolutions@gmail.com

Pediatric Practice Available Near Raleigh, NC

Pediatric practice located minutes south of Raleigh, North Carolina is now listed for sale. Located in an excellent area convenient to Raleigh, Cary, and Durham, it is surrounded by a strong health care community. This is a well established practice with a very solid patient base. The building is equipped with a private doctor’s office, five exam rooms, and an in-house lab.

Established: 1980s l Gross Yearly Income: $350,000 Average Patients per Day: 16 to 22 l List Price: $145,000

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

Internal Medicine Practice in the Heart of Raleigh

D L

O S

This is a beautiful practice, well appointed with great street visibility, parking and a very strong patient following. There are 4 exam rooms and a procedure room. The lobby is very comfortable with hardwood floors and tastefully decorated.

The gross revenues are over $600,000 with a strong income after expenses.

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com MED MONTHLY MAGAZINE

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We have several qualified MDs seeking established Urgent Care Practices in North Carolina.

Urgent Care Practices Wanted If you have an urgent care practice and would like to explore your selling options, please contact us. Your call will be handled confidentially and we always put together win-win solutions for the seller and buyer.

Call Medical Practice Listings today and ask for Philip Driver 919-848-4202.

Internal Medicine Practice for Sale Located in the heart of the medical community in Cary, North Carolina, this Internal Medicine practice is accepting most private and government insurance payments.

The average patients per day is 20-25+, and the gross yearly income is $555,000.

Listing Price: $430,000

Call 919-848-4202 or e-mail medlistings@gmail.com www.medicalpracticelistings.com

Eastern North Carolina Family Practice Available Well-appointed Eastern North Carolina Family Practice established in 2000 is for sale in Williamston, NC. This organized practice boasts a wide array of diagnostic equipment including a GE DEXA scanner with a new tube, GE case 8000 stress testing treadmill and controller and back up treadmill, Autoclave and full set of operating equipment, EKG-Ez EKG and much more. The average number of patients seen daily is between 12 to 22. The building is owned

by MD and can be purchased or leased.

The owning physician is relocating and will assist as needed during the transition period. The gross receipts for the past three years average $650,000 and the list price was just reduced to $185,000. If you are looking to purchase a well equipped primary care practice, please contact us today.

919-848-4202 medlisting@gmail.com medicalpracticelistings.com

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Modern Med Spa Available

Located in beautiful coastal North Carolina Modern, well-appointed med spa is available in the eastern part of the state. This Spa specializes in BOTOX, facial therapy and treatments, laser hair removal, eye lash extensions and body waxing as well as a menu of anti-aging options. This impressive practice is perfect as-is and can accommodate additional services like primary health or dermatology.

The Gross revenue is over $1,500.000 with consistent high revenue numbers for the past several years. The average number of patients seen daily is between 26 and 32 with room for improvement. You will find this Med Spa to be in a highly visible location with upscale amenities. The building is leased and the lease can be assigned or restructured. Highly profitable and organized, this spa is POISED FOR SUCCESS. 919.848.4202 medlisting@gmail.com medicalpracticelistings.com

Practice for Sale in Raleigh, NC

State of Cha-Ching.

Primary care practice specializing in women’s care Raleigh, North Carolina The owning physician is willing to continue with the practice for a reasonable time to assist with smooth ownership transfer. The patient load is 35 to 40 patients per day, however, that could double with a second provider. Exceptional cash flow and profit will surprise even the most optimistic practice seeker. This is a remarkable opportunity to purchase a well-established woman’s practice. Spacious practice with several well-appointed exam rooms and beautifully decorated throughout. New computers and medical management software add to this modern front desk environment.

List price: $435,000

Call Medical Practice Listings at (919) 848-4202 for details and to view our other listings visit www.medicalpracticelistings.com

Lindsay Gianni, Agent 12333 Strickland Road Suite 106 Raleigh, NC 27613 Bus: 919-329-2913 lindsay.gianni.f23o@statefarm.com

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*Discounts and their availability may vary by state and eligibility requirements.

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Physician Solutions, Inc. Medical & Dental Staffing

The fastest way to be $200K in debt is to open your own practice The fastest way to make $100K is to choose

Physician Solutions

THE DECISION IS YOURS Physician Solutions, Inc. P.O. Box 98313 Raleigh, NC 27624 Scan this QR code with your smartphone to learn more.

phone: 919-845-0054 fax: 919-845-1947 www.physiciansolutions.com physiciansolutions@gmail.com